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NPI Code Detail

MEDICARE: TAMARA NOEL BOWMAN APRN

MEDICARE: TAMARA NOEL BOWMAN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner4005SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194059360
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA NOEL BOWMAN APRN
Provider Business Mailing Address
First Line : PO BOX 421718
Second Line :
City : GEORGETOWN
State : SC
Zip : 29442-4203
Country : US
Telephone Number : 843-527-7000
Fax Number :
Provider Business Practice Location Address
First Line : 4181 HIGHWAY 17
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-5019
Country : US
Telephone Number : 843-652-3600
Fax Number : 843-652-3602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2009
Last Update Date : 11/12/2025

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